The study will be a randomized, partially-blinded, prime-boost, staggered dose-escalation Phase 1 study intended to assess the safety, tolerability, and immunogenicity of the Coronavirus-Like Particle COVID-19 Vaccine at three dose levels (3.75 µg, 7.5 µg, and 15 µg VLP) unadjuvanted or adjuvanted with either CpG 1018 or AS03 in healthy adults 18 to 55 years of age, who have been tested for the absence of SARS-CoV-2 antibodies. At each dose level, the vaccine will initially be administered to a small number of subjects. Vaccinations of the first 6 subjects at the lowest dose level will be staggered so that each vaccination must be performed at least 30 minutes apart. Vaccination of the remaining subjects at the same dose level and the next higher vaccine dose level will be administered with approval of the Independent Data Monitoring Committee (IDMC). The same process will be followed for the second vaccine administration. All subjects will be followed for a period of 12 months after the second administration of the vaccine for safety and immunogenicity testing at the end of the follow-up period.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
180
Subjects will receive two intramuscular (IM) injections 21 days apart (Day 0 and Day 21), into the deltoid region of the alternating arm (each arm will be injected once), with their assigned vaccine.
Syneos Health
Montreal, Quebec, Canada
Syneos Health
Québec, Quebec, Canada
Immediate adverse event (AEs)
Percentage, intensity, and relationship to vaccination of immediate adverse events (AEs)
Time frame: 30 minutes
Solicited local and systemic adverse events (AEs)
Percentage, intensity, and relationship to vaccination of solicited local and systemic adverse events (AEs) following each vaccination
Time frame: 7 days
Unsolicited adverse events (AEs)
Percentage, intensity, and relationship of unsolicited adverse events (AEs) following each vaccine administration
Time frame: 21 days
Serious adverse events (SAEs), adverse events (AEs) leading to withdrawal, adverse event of special interest (AESI) (including vaccine-enhanced disease) and deaths
Occurrences of serious adverse events (SAEs), adverse events (AEs) leading to withdrawal, adverse event of special interest (AESIs) (including vaccine-enhanced disease (VED)), and deaths following each vaccine administration
Time frame: 21 days
Safety labs
Number and percentage of subjects with normal and abnormal clinically significant urine, haematological and biochemical values prior to and 3 days following each vaccination.
Time frame: 3 days
Neutralizing antibody (Nab assay) response
Nab response induced by the vaccine against the SARS-CoV-2 virus
Time frame: 21 days
Specific Th1 cell-mediated immunity (CMI) response
Cell-mediated immunity (CMI) response induced by the vaccine against the SARS-CoV-2 virus after each vaccination, as measured by Interferon-gamma (IFN-γ) enzyme-linked immunospot (ELISpot)
Time frame: 21 days
Specific Th2 cell-mediated immunity (CMI) response
Cell-mediated immunity (CMI) response induced by the vaccine against the SARS-CoV-2 virus after each vaccination, as measured by Interleukin-4 (IL-4) ELISpot
Time frame: 21 days
Serious adverse events (SAEs), adverse events (AEs) leading to withdrawal, adverse event of special interest (AESI) (including vaccine-enhanced disease) and deaths
Occurrences of serious adverse events (SAEs), adverse events (AEs) leading to withdrawal, adverse event of special interest (AESIs) (including vaccine-enhanced disease (VED)), and deaths from 22 days after the last vaccination up to the end of the study
Time frame: Day 42 to 386
Specific antibody response induced by the vaccine against the SARS-CoV-2 virus measured by total IgG and/or IgM levels
Specific antibody response induced by the vaccine against the SARS-CoV-2 virus, as measured by total IgG and/or IgM levels
Time frame: Day 21, 42, 201 and 386
Neutralizing antibody (Nab assay) response induced by the treatment groups against the SARS-CoV-2 virus
Neutralizing antibody (Nab assay) response induced by the treatment groups against the SARS-CoV-2 virus
Time frame: Day 201 and 386
Specific Th1 cell-mediated immunity (CMI) response induced by the vaccine against the SARS-CoV-2 virus
Specific Th1 cell-mediated immunity (CMI) response induced by the vaccine against the SARS-CoV-2 virus measured by IFN- γ ELISpot
Time frame: Day 201 and 386
Specific Th2 cell-mediated immunity (CMI) response induced by the vaccine against the SARS-CoV-2 virus
Specific Th2 cell-mediated immunity (CMI) response induced by the vaccine against the SARS-CoV-2 virus measured by IL-4 ELISpot.
Time frame: Days 201 and 386
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